DR. OLYSIA N TAKLA DMD
NPI 1124437553
Dentist - General Practice in Glendale, AZ

Active since August 11, 2014Opted out of Medicare · through May 26, 2027
5855 W UTOPIA RD, GLENDALE, AZ 85308(623) 806-7175 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2021, May 26, 2021, Mar 10, 2021 (3 updates tracked since 2021).

About Dr. Olysia N Takla Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OLYSIA N TAKLA DMD (NPI 1124437553) is an individual general practice provider in Glendale, Arizona, licensed in Arizona (D009180) and active in the NPI registry since August 2014. She has opted out of Medicare through May 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124437553
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. OLYSIA N TAKLACredential: DMD
Location Address5855 W UTOPIA RDGlendale, AZ 85308-5251
Mailing Address5813 W Del Lago CirGlendale, AZ 85308-6205 · (440) 822-4038
Sole ProprietorYes
Enumeration DateAugust 11, 2014
Last NPPES UpdateJuly 26, 20213 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
NPI 1124437553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AZ · D009180
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5855 W UTOPIA RD, Glendale, AZ 85308

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Olysia N Takla Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 26, 2021 through May 26, 2027.

Opt-Out Effective DateMay 26, 2021
Opt-Out In Effect ThroughMay 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
5855 W UTOPIA RD
GLENDALE, AZ 85308
Dentist (General Practice)
5855 W UTOPIA RD
GLENDALE, AZ 85308
Dentist (General Practice)
5855 W UTOPIA RD
GLENDALE, AZ 85308
Clinic/Center (Dental)
5855 W UTOPIA RD
GLENDALE, AZ 85308
Dentist (Endodontics)
5855 W UTOPIA RD
GLENDALE, AZ 85308
Dentist
5855 W UTOPIA RD
GLENDALE, AZ 85308
Dentist (General Practice)
5855 W UTOPIA RD
GLENDALE, AZ 85308
Dentist
5855 W UTOPIA RD, MIDWESTERN UNIVERSITY DENTAL INSTITUTE
GLENDALE, AZ 85308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olysia Takla's NPI number?

The NPI number for Olysia Takla is 1124437553. It was assigned to this individual provider in the NPPES registry on August 11, 2014.

Where is Olysia Takla located?

Olysia Takla practices at 5855 W Utopia Rd, Glendale, AZ 85308. The listed phone number is (623) 806-7175.

What is Olysia Takla's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Olysia Takla enrolled in Medicare?

No. Olysia Takla has opted out of Medicare through May 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Olysia Takla accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Arizona and 1 other insurer list Olysia Takla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olysia Takla was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.